Saliba Tom, Tack Denis
Radiology, Université Libre de Bruxelles, Brussels, BEL.
Radiology, Centre Hospitalier EpiCURA - site de Ath, Ath, BEL.
Cureus. 2023 Feb 24;15(2):e35394. doi: 10.7759/cureus.35394. eCollection 2023 Feb.
Rectitis caused by the administration of a caustic enema is uncommonly encountered in routine clinical practice. The reasons given for the application of caustic enemas are diverse, including but not limited to suicide attempts, murder attempts, iatrogenic causes and simple mistakes. When caustic enemas do occur the consequences can be dire, resulting in extensive injury. These injuries often prove fatal in the short term, but if the patient survives the initial injuries, they may subsequently cause severe disability. Treatment can be conservative but commonly involves surgery, with a significant proportion of patients not surviving the intervention or succumbing to complications thereafter. We present the case of a patient with a history of alcoholism, depression and a recent recurrence of oesophageal cancer who self-administered a hydrochloric acid enema in an attempted suicide. The patient subsequently suffered a stenosis of the lower bowel, resulting in diarrhoea. A colostomy was performed in order to alleviate the patient's symptoms and improve their comfort.
在常规临床实践中，因使用腐蚀性灌肠剂导致的直肠炎并不常见。使用腐蚀性灌肠剂的原因多种多样，包括但不限于自杀未遂、谋杀未遂、医源性原因和单纯的失误。当发生腐蚀性灌肠剂事件时，后果可能很严重，会导致广泛的损伤。这些损伤在短期内往往是致命的，但如果患者在最初的损伤中幸存下来，随后可能会导致严重残疾。治疗可以是保守的，但通常需要手术，相当一部分患者在干预后无法存活或死于并发症。我们报告一例有酗酒、抑郁症病史且近期食管癌复发的患者，该患者为自杀而自行使用了盐酸灌肠剂。患者随后出现下肠道狭窄，导致腹泻。为缓解患者症状并提高其舒适度，进行了结肠造口术。
